Provider First Line Business Practice Location Address:
1601 NEW CASTLE RD
Provider Second Line Business Practice Location Address:
DEPT OF RADIOLOGY
Provider Business Practice Location Address City Name:
FORREST CITY
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72335-2218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-261-0000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/15/2006